To translate this page into another language, click here!

I Need A Ride To get information on ride services available in your area, please send us an email with details about your needs. We will answer your request within24 hours. You may also call for information at (800) 450-6100. This is a developing program. Rides may not be available in all areas at this time. Your information will help in determining future service areas. *Name:   *Phone:   *Email:   *Confirm Email:   *Date:   January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 *Time:   01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM Ride From         *Landmark:   *Address:   Door/Atp:   *City/State/Zip:   *Instruction:   Ride To         *Landmark:   *Address:   Door/Atp:   *City/State/Zip:   *Instruction:     Do you need a return ride?   YesNo If Yes         January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010   01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM (If different than above, please fill out another trip request)   ADDITIONAL INFORMATION (Optional) How to travel: (check all that would be acceptable) Bus:       Light Rail:       Dial-a-Ride:       Van Pool:       Ride Share:       Taxi:       No. Assistance Needed: # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Assistance Needed:   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Wheel Chair Bound:   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Wheel Chair (Can transfer):   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Walker/Cane/Blind:   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Infant Seat:   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 Toddler Seat:   # of Passengers:   # 01 02 03 04 05 06 07 08 09 10 HOW TO PAY             Need Assistance:       Cash:       Coupon:       Charge:       Credit Card :       Please email me information updates and special offers from CT RideNet Please send me information and special offers from CT RideNet marketing partners     Sniezek Finacial Helping you reach your financial goals. Call (320)259-4484 Taxi Yellow Cab of Central Minnesota Providing service for over 50 years www.caretransportation.com Bank Vista Sartell Your Safe and Sound Community Bank www.bankvista.com Home Medical Equipment Qualityl products and Services Since 1989 www.reliamed.com Professional Hearing & Audiology Services, Inc. (320) 259-1978 prohear@aol.com First National Bank of Cold Spring The ONE for you. www.fnbcs.com Special Transportation Care Cab Ambulatory and Wheelchair www.caretransportation.com © 2007 CT RideNet • 800-450-6100 •info@ctridenet.com